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General NPI Number Information
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NPI Number | 1871599571
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Entity Type | Organization
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Legal Business Name | FAMILY HOMECARE, INC.
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 3636 S I 10 SERVICE RD W STE 206
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City | METAIRIE
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State | LA
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Zip | 70001-6418
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Country | US
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Telephone | 504-835-0934
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Fax | 504-835-0165
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Provider Business Mailing Address
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Address Line | 3636 S I 10 SERVICE RD W STE 206
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City | METAIRIE
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State | LA
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Zip | 70001-6418
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Country | US
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Telephone | 504-835-0934
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Fax | 504-835-0165
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | MRS. DAVELYNN B MELITO
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Credential | CHCE
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Telephone | 504-835-0934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 560
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License Number State | LA
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